| Kidpsych, Inc | |
|
21444 Anthony Rd Noblesville IN 46062-8277 | |
| (540) 446-9805 | |
| (317) 758-5850 |
| Full Name | Kidpsych, Inc |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 21444 Anthony Rd, Noblesville, Indiana |
| Authorized Official Name and Position | Sara E Davis (OWNER) |
| Authorized Official Contact | 5404469805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidpsych, Inc 21444 Anthony Rd Noblesville IN 46062-8277 Ph: (540) 446-9805 | Kidpsych, Inc 21444 Anthony Rd Noblesville IN 46062-8277 Ph: (540) 446-9805 |
| NPI Number | 1700113552 |
|---|---|
| Provider Enumeration Date | 11/13/2009 |
| Last Update Date | 11/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700113552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | VA0810003385 (Indiana) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2204584A (Indiana) | Primary |
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